Archive for June 2016

What a Small OT World It Is

In the next few years, I will personally know at least 1 in every 420 OTs in America. So if you were to ask if I knew your random OT friend, there’s actually a chance I’d say “yes”!

There are 115,000 OTs in the US
I personally know 270 (30 current occupational therapists, 80 students in my cohort, 100 students in the previous cohort, 60 students in the next cohort) 270 / 115,000 = 0.0023 . . . . 0.23% of the OTs in America, that’s 1 in every 420 OTs in America!

It is very important to not burn professional bridges!

Caduceus vs. Rod of Asclepius

When you want an icon that refers to medicine, use the rod with one snake, called the Rod of Asclepius. For commerce (and some other things, see below) use the winged staff with two snakes, called the Caduceus. These two symbols have very different meanings!

Rod of Asclepius, Medicine

The Rod of Asclepius (displayed to the left) is the symbol for the Greco-Roman god Asclepius, known for his connection with medicine. It is a rod with one snake. The symbol is used today to represent the medical profession. You can commonly find this symbol on ambulances and everywhere medical symbols or logos are needed.

Caduceus, Commerce

The Caduceus (displayed to the right) is the symbol for the Greco-Roman god Hermes or Mercury. It is a staff with two snakes and wings. Hermes is known for being a messenger of the gods, protector of merchants, guide to the dead, shepherds, gamblers, liars, and thieves. The Caduceus is generally used today as a symbol of commerce.

Why is there confusion in the U.S.?
In 1902 the US Army Medical Corp chose the Caduceus as their insignia. Most scholars regard this as a flat-out mistake. The US Army writes that the Caduceus represents “the non-combatant status of military medicine on the battlefield”, which is to say they fully admit they are not using it as a medical symbol. The Encyclopedia Britannica notes, “Among the ancient Greeks and Romans [the Caduceus] became the badge of heralds and ambassadors, signifying their inviolability.” So maybe the US Army was thinking the symbol would convey a sense of “… Hey, hey, hey, don’t kill me, I’m just a messenger delivering the wounded to the hospital!” or some such. That is quite a stretch; I think somebody just used the wrong symbol. Today, military ambulances use the red cross and and civilian ambulances use the Star of Life, which prominently features, you guessed it, the Rod of Asclepius.

So why shouldn’t a medical provider use the Caduceus? Oh, let me count the ways! Being the symbol of Hermes, at best, it implies the medical professional is either selling or delivering something. The closest you’ll ever get to it being the right symbol is for a palliative care setting where medical professionals carefully “transport” those in their care into the afterlife. It goes downhill from there; it may imply the medical provider will kill you (Hermes is the guide to the dead!), feed you to the dogs (shepherds!), hock your jewelry (gamblers!), and tell your mom they haven’t seen you in a week (liars and thieves!). It is generally not a reassuring medical symbol. If you are a medical provider, please do not use the Caduceus!

 

 

Academic research on the subject is very clear. The Caduceus is not a medical symbol, the Rod of Asclepius is. The best research can be found in the 1992 book The Golden Wand of Medicine a History of the Caduceus Symbol in Medicine by Walter Friedlander

Dr. Friedlander spends 181 pages meticulously reviewing the history of the two symbols from their origins to the present day. It is very well researched, with lengthy bibliographies. He nails down with all the certainty that can be mustered by the best academician that the Caduceus is the wrong symbol to represent medicine. Read the final sentences of the book read (bold is mine):

It seems most likely that the caduceus became associated with medicine because of two errors: confusion of Traditional Hermes with other Hermes, and lack of recognizing or knowing the difference between two distinct serpentine objects, Traditional Hermes’ caduceus and Aesculapius’ staff. The result is that present day medicine, particularly in the United States, often shares the same symbol with merchants and commerce. Although, unfortunately, many lay people may think this is appropriate, it seems unlikely that most medical people, if they understood the underlying meaning of this object, would find it suitable. – page 158

Here are some scans of the first page and the concluding pages of The Golden Wand of Medicine.

 

There are a plethora of other resources I welcome you to explore. They all say the same thing. “Use the rod of Asclepius as the medical symbol”. Here’s a few articles from highly regarded sources to get you started:

 

————————————————–

Here is the full text from the US Army Medical Department Office of Medical History Frequently Asked Questions page, retrieved 10-31-20: (bold is mine)

Why does the Army Medical Department use the Caduceus, which represents the Greek god Hermes and the Roman god Mercury, instead of the Staff of Asclepius, the Greek god of healing?
The Army Medical Department uses both the Caduceus (Mercury’s/Hermes’ Staff) and the Staff of Asclepius as symbols for the Army Medical Department (AMEDD). The Staff of Asclepius, or Aesculapius, symbolizes the medical mission of the AMEDD, and is included on the AMEDD Regimental Crest (the staff with one snake entwined around it). The Caduceus, two snakes around a winged staff, symbolizes the non-combatant role of the AMEDD. The Caduceus was first used on enlisted men’s uniforms in 1851, over a decade before the establishment of the Red Cross as a symbol of non-combatants. In 1902 the Caduceus was chosen to replace the Maltese Cross insignia on Medical Corps officers’ collars. In 1907, the Army Nurse Corps – the only other officer corps in the AMEDD at that time – began wearing a Caduceus with the letters ANC superimposed over it. Since that time, all new officer corps have been represented by a Caduceus specific to their corps, worn on the collars of their officers. After the First World War, many medical professionals left the army and returned to civilian practice. When they did, they took with them the Caducei they had worn proudly as members of the Army Medical Department. Over time, the Caduceus became associated with medicine in America, even in medical practices that had no association with the Army. Originally, though, the Caduceus did not stand for medicine, but represented the non-combatant status of military medicine on the battlefield.

 

————————————————–

Notes:

“Asclepius” is also spelled Asclepios or (Latin) Aesculapius

The Rod of Asclepius image above was created by David Khai, distributed by The Noun Project. The fine folks at the Noun Project were a great help when I brought this issue to them, fixing hundreds of their catalog listings appropriately! Thank you!

 

Mouring the Death of Rafael Bejarano

This is to memorialize Rafael Bejarano. His gift to Megan and I at our wedding was magical.

He played the didgeridoo for Megan and I at our wedding and … well, there was this moment when he put the instrument right up to my head and the sound revealed this amazing connection to the universality of music and love. Megan and I experienced it both. Thank you Rafael.

Here is a memorial web page that talks about Rafael Bejarano’s music and life better than I.

In September 2015, he was “accidentally murdered” by the Egyptian military while on vacation.

(via the New York Times)

The Latest: Family, Friends Identify Mexican Killed in Egypt
By THE ASSOCIATED PRESS
SEPTEMBER 14, 2015

The latest developments after Egyptian troops mistakenly opened fire on a group of Mexican tourists on a safari in the country’s western desert. All times local:
___

8:20 p.m.

Friends and relatives of a Mexican man killed in a mistaken attack by Egyptian security forces in the Arab country’s western desert have identified him as Rafael Bejarano, who has given classes in spirituality and concerts in Mexico and the United States.

The identity of the other Mexican who died in the attack has not yet been confirmed.

Bejarano’s business partner, Rachel Stewart of San Clemente, California, says the Egyptian trip of about 15 friends was organized by Bejarano’s mother, Marisela. Stewart says Marisela, who also took part in the trip, was recovering from wounds suffered in the attack.

Stewart said Monday that the trip was planned as a sort of spiritual retreat, and that Marisela regularly organized similar trips.

The 41-year-old Bejarano had lived in San Clemente for about three years and was a self-described shaman, faith healer, and player of the didgeridoo – a long, wooden horn-like instrument from Australia.

Stewart says he “touched everyone with his heart, with his music, with his soul.”

Bejarano’s sister Gabriela Bejarano disputed government reports that the groups was not authorized to be in the area. She says she herself has been on the trip twice, and that “the controls are very strict.”

___

5:30 p.m.

A hospital spokeswoman says two Mexicans wounded when Egyptian forces mistakenly fired upon tourists on a desert safari are dual American citizens.

Twelve people were killed in the incident, including two Mexican citizens, and a total of 10 people were wounded.

Mona el-Bakri, the spokeswoman for the Dar al-Fouad hospital where the wounded were being treated, says two of the seven Mexicans receiving treatment also hold American citizenship.

U.S. Embassy spokesman Brian Shott said officials are looking into whether an American citizen was involved in the incident.

___

4:15 p.m.

Mexico’s Embassy in Cairo says it’s cancelling its independence day celebration scheduled for Tuesday at the mission in the Egyptian capital.

The cancellation followed the deadly attack late Sunday that killed at least two Mexican tourists and wounded six in Egypt’s western desert.

The brief message was posted on the embassy’s website.

Mexicans traditionally celebrate their independence with a ceremony on the evening of Sept. 15 and morning of Sept. 16.

___

3:35 p.m.

Mexican Foreign Secretary Claudia Ruiz Massieu says Mexicans wounded in a mistake attack in Egypt have told Mexico’s ambassador to Cairo that they were subject to an aerial attack from aircraft. She confirmed that at least two Mexicans were killed in the attack and six were wounded.

Ruiz Massieu spoke at a news conference on Monday in Mexico City.

She says the wounded Mexicans said “they had suffered an aerial attack with bombs launched from an airplane and helicopters.”

She also says Egyptian officials have promised to form an investigative committee headed by the country’s prime minister and pledged “an expedited investigation in depth.”

Mexico has sent a diplomatic note expressing “profound dismay” and demanding an investigation.

___

2:30 p.m.

Ibrahim Mehleb, Egypt’s acting prime minister has visited several Mexican citizens injured by Egyptian security forces in Egypt’s western desert. Mehleb, whose government resigned last week but who remains in his post until a successor can be chosen, visited the wounded in Dar el-Fouad Hospital in suburban Cairo on Monday.

“We are standing next to the Mexican people in their tragedy. The circumstances surrounding the incident are part of Egypt’s fight against terrorism. The Mexican side is receiving the best care and we will take care of the Egyptian victims,” Mehleb said after his visit. “This is a painful incident and I give my deepest condolences to the Egyptian people and our guest the Mexicans, and I have spoken to the Mexican ambassador and relayed my condolences.”

___

1:00 p.m.

Egyptian Foreign Ministry spokesman Ahmed Abu Zaid says acting Foreign Minister Sameh Shoukry spoke by telephone Monday morning with his Mexican counterpart Claudia Ruiz Massieu and explained to her the circumstances that surrounded the incident, saying the tourists were in a restricted area and the army and police were chasing militants who were in SUVs similar to those used by the tourists.

Shoukry assured Massieu that the Interior Ministry is investigating the incident and that the Egyptian government will extend all possible assistance, including medical treatment for the injured and transporting the bodies of the dead back to their home country.

___

9:15 a.m.

Mexican President Enrique Pena Nieto is condemning the deaths of Mexican tourists after Egyptian troops mistakenly opened fire on a desert safari convoy.

In a statement on his Twitter feed Monday morning, Nieto says his government “condemns these acts against our citizens” and demands a thorough investigation.

The attack killed at least 12 people and injured 10. The victims are Mexican and Egyptian.

Egyptian authorities say the four-car convoy had entered a restricted area of the desert without permission and without informing authorities.

© 2015 The New York Times Company



I’ll Be Presenting My OT Poster Presentation at OTAC!

OTAC_40anniversary I was selected to present my research poster at the OTAC Convention (Occupational Therapy Association of California) in Pasadena October 27-30!

My big final research paper in school was about the relationship between stress and life satisfaction among
occupational therapy graduate students. I created a poster to highlight the important points and I presented it at a poster session last month. I applied to present the poster at the OTAC conference in October and the committee selected it!

OT Academics Done!

I am finished with the academic portion of my Master of Science degree in Occupational Therapy at San Jose State University!

On May 27th I walked with my cohorts wearing cap and gown in a convocation ceremony.

In the coming months I will do two three-month fieldworks: a skilled nursing facility in Alameda and at a community senior center in San Francisco. In January or February I will take the NBCOT (the occupational therapy certification test) and start as an occupational therapy professional!

See Thank-you’s below the photos!

Here is the Acknowledgements section of my research paper:
The Relationship Between Stress and Life Satisfaction Among Occupational Therapy Graduate Students

Acknowledgements
Firstly, I have thank my loving wife Dr. Megan Flom for helping to make this grand project a reality. She has been there, supporting me from the beginning to the end. Great thanks also go to my brother-in-law Walt Flom for sharing his passion and helping me to appreciate and understand it.

I offer my gratitude to my research professor, Dr. Megan Chang for guiding and supporting this effort. I am also grateful for every professor and every student I have encountered at San Jose State. This has been a period of great growth.

I offer grateful thanks to my parents, Lee J. Sonko and Marlene M. Sonko for a lifetime of continued love and encouragement to follow my passions.

The person I need to thank the most can’t read this note… yet. I must thank my wonderful daughter Abigail for helping me every morning by reminding me of the joys of life and learning. As she says so excitedly, “Book-a-book-a-book-a-book-a-book!”

Lee Sonko
May 2016

SSL Lee.org

I just installed SSL security on Lee.org.  Now you should always see a green padlock next to the address at the top of the page. I installed it with the help of Dreamhost and Let’s Encrypt, free SSL. I was worried something would break but it was pretty painless.

Kim Jong Un Loves The Donald

From Reuters

North Korea says Trump isn’t screwy at all, a wise choice for president
SEOUL | BY JACK KIM
A combination photo shows a Korean Central News Agency (KCNA) handout of North Korean leader Kim Jong Un released on May 10, 2016, and Republican U.S. presidential candidate Donald Trump posing for a photo after an interview with Reuters in his office in Trump Tower, in the Manhattan borough of New York City, U.S., May 17, 2016. REUTERS/KCNA handout via Reuters/File Photo & REUTERS/Lucas Jackson/File Photo

North Korea has backed presumptive U.S. Republican nominee Donald Trump, with a propaganda website praising him as “a prescient presidential candidate” who can liberate Americans living under daily fear of nuclear attack by the North.

A column carried on Tuesday by DPRK Today, one of the reclusive and dynastic state’s mouthpieces, described Trump as a “wise politician” and the right choice for U.S. voters in the Nov. 8 U.S. presidential election.

Nuff said.